4.6 Article

The Role of Metformin Response in Lipid Metabolism in Patients with Recent-Onset Type 2 Diabetes: HbA1c Level as a Criterion for Designating Patients as Responders or Nonresponders to Metformin

期刊

PLOS ONE
卷 11, 期 3, 页码 -

出版社

PUBLIC LIBRARY SCIENCE
DOI: 10.1371/journal.pone.0151543

关键词

-

资金

  1. Mazandaran University of Medical Sciences

向作者/读者索取更多资源

Background In this study, we investigated whether response to metformin, the most frequently drug for diabetes treatment, influences the therapeutic effects of antilipidemic medication in newly diagnosed patients with type 2 diabetes mellitus (T2DM). Methods A total of 150 patients with T2DM were classified into two groups following 3 months of metformin therapy (1000 mg twice daily): responders (patients showing >= 1% reduction in HbA1c from baseline) and nonresponders (patients showing <1% reduction in HbA1c from baseline). The patients received atorvastatin 20 mg, gemfibrozil 300 mg, or atorvastatin 20 mg and gemfibrozil 300 mg daily. Principal Findings HbA1c and fasting glucose levels were significantly different between baseline and 3 months among responders receiving atorvastatin; however, these differences were not statistically significant in nonresponders. Atherogenic ratios of low-density lipoprotein cholesterol to high-density lipoprotein cholesterol (LDL-C/HDL-C; p = 0.002), total cholesterol to HDL-C (TC/HDL-C; p<0.001) and AIP (the atherogenic index of plasma; p = 0.004) decreased significantly in responders receiving atorvastatin than in nonresponders. Moreover, responders receiving atorvastatin showed a significant increase in HDL-C levels but nonresponders receiving atorvastatin did not (p = 0.007). The multivariate model identified a significant association between metformin response (as the independent variable) and TG, TC, HDL-C and LDL-C (dependent variables; Wilk's lambda = 0.927, p = 0.036). Conclusions Metformin response affects therapeutic outcomes of atorvastatin on atherogenic lipid markers in patients newly diagnosed with T2DM. Metformin has a greater impact on BMI in responders of metformin compared to nonresponders. Adoption of better therapeutic strategies for reducing atherogenic lipid markers may be necessary for metformin nonresponders.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Cardiac & Cardiovascular Systems

Improved risk assessment of coronary artery disease by substituting paraoxonase 1 activity for HDL-C: Novel cardiometabolic biomarkers based on HDL functionality

Abdolkarim Mahrooz, Yasaman Shokri, Atena Variji, Mehryar Zargari, Ahad Alizadeh, Ehsan Mehtarian

Summary: Developing laboratory assays to evaluate HDL functions and improving cardiovascular disease risk assessment by investigating new cardiometabolic risk factors based on substituting paraoxonase 1 (PON1) as a critical enzyme in the functionality of HDL for that of HDL-C may help predict the risk of coronary artery disease. The study found that the new cardiometabolic ratios remained significant as independent variables after multivariate adjustment, providing optimal discriminating cutoffs for CAD. Substituting PON1 activity for HDL-C in atherogenic lipid ratios can enhance CAD risk assessment by providing an index of HDL activity.

NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES (2021)

Review Medical Laboratory Technology

Oxidized LDL-regulated microRNAs for evaluating vascular endothelial function: molecular mechanisms and potential biomarker roles in atherosclerosis

Anvarsadat Kianmehr, Durdi Qujeq, Abouzar Bagheri, Abdolkarim Mahrooz

Summary: Vascular endothelial cells respond to physicochemical stimuli, with oxidized low-density lipoprotein contributing to atherosclerosis. MicroRNAs play a role in cellular homeostasis under stress and can serve as therapeutic targets and biomarkers.

CRITICAL REVIEWS IN CLINICAL LABORATORY SCIENCES (2022)

Article Medicine, General & Internal

Association between liver enzymes and metabolic syndrome: results of the enrollment phase of Tabari cohort

Parastoo Karimi Aliabadi, Mehrnoush Sohrab, Amirhossein Hessami, Mahdi Afshari, Zahra Kashi, Motahareh Kheradmand, Akbar Hedayatizadeh-Omran, Reza Alizadeh-Navaei, Mahmood Moosazadeh

Summary: This study found that serum levels of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were higher in patients with MetS compared to controls. Individuals with ALT levels >= 40 had significantly higher chances of having MetS, high triglycerides, and fasting blood glucose. Those with AST levels >= 40 had a 1.45 times higher chance of having MetS compared to individuals with normal AST levels.

IRISH JOURNAL OF MEDICAL SCIENCE (2022)

Review Biotechnology & Applied Microbiology

Noncoding RNA Roles in Pharmacogenomic Responses to Aspirin: New Molecular Mechanisms for an Old Drug

Mohammad Amin Khazeei Tabari, Mohammad Amir Mishan, Mona Moradi, Mohanna Khandan, Hooman Khoshhal, Abdolkarim Mahrooz, Abouzar Bagheri

Summary: Aspirin, a commonly prescribed drug, has therapeutic effects on cardiovascular and metabolic disorders as well as malignancies through various molecular pathways. Changes in noncoding RNA expression profiles during aspirin treatments suggest a close relationship between these regulatory molecules and aspirin effects on gene expressions. Understanding the molecular networks involved in aspirin efficacy could optimize therapies for this popular drug.

BIOMED RESEARCH INTERNATIONAL (2021)

Article Endocrinology & Metabolism

Quality of care in type 2 diabetes in Iran; a cross-sectional study using patient-level data

Majid Davari, Yahya Bayazidi, Abbas Kebriaeezadeh, Alireza Esteghamati, Fatemeh Bandarian, Zahra Kashi, Adele Bahar, Sepideh Yousefi

Summary: The study evaluated the quality of care indicators in T2DM using retrospective patient-level data from 2013 to 2017 in 15 Tertiary Diabetes Care Centers in Iran. The results showed that the management of T2DM was far from optimal control in both processes and outcome-related indicators. Only a small percentage of patients received HbA1c and LDL tests, and very few patients met all the optimal process-related quality indicators.

BMC ENDOCRINE DISORDERS (2022)

Correction Psychiatry

Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study (vol 20, 229, 2020)

Farid Najafi, Yahya Pasdar, Behzad Karami Matin, Satar Rezaei, Ali Kazemi Karyani, Shahin Soltani, Moslem Soofi, Shahab Rezaeian, Alireza Zangeneh, Mehdi Moradinazar, Behrooz Hamzeh, Zahra Jorjoran Shushtari, Mansour Sajjadipour, Saeid Eslami, Maryam Khosrojerdi, Sahar Shabestari, Amir Houshang Mehrparvar, Zahra Kashi, Azim Nejatizadeh, Mohammadreza Naghipour, Shahrokh Sadeghi Boogar, Ali Fakhari, Bahman Cheraghian, Haydeh Heidari, Parviz Molavi, Mohammad Hajizadeh, Yahya Salimi

BMC PSYCHIATRY (2022)

Article Cardiac & Cardiovascular Systems

Can HDL cholesterol be replaced by paraoxonase 1 activity in the prediction of severe coronary artery disease in patients with type 2 diabetes?

Abdolkarim Mahrooz, Omeh Farveh Khosravi-Asrami, Ahad Alizadeh, Neda Mohmmadi, Abouzar Bagheri, Zahra Kashi, Adele Bahar, Mani Nosrati, Mike Mackness

Summary: This study aimed to investigate whether the prediction of coronary artery disease (CAD) risk in type 2 diabetes (T2D) patients could be improved by using high-density lipoprotein (HDL)-bound paraoxonase 1 (PON1) activity instead of HDL cholesterol (HDL-C) concentration. The results showed that PON1 and the ratio of nonHDL-C/PON1 significantly improved the prediction of severe CAD in T2D patients and in patients with HbA1c≥7%, age≥50 years, or low HDL-C.

NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES (2023)

Article Imaging Science & Photographic Technology

Forensic Gender Determination by Using Mandibular Morphometric Indices an Iranian Population: A Panoramic Radiographic Cross-Sectional Study

Mahsa Esfehani, Melika Ghasemi, Amirhassan Katiraee, Maryam Tofangchiha, Ahad Alizadeh, Farnaz Taghavi-Damghani, Luca Testarelli, Rodolfo Reda

Summary: This study assessed the accuracy of gender estimation using mandibular morphometric indices on panoramic radiographs of an Iranian population. The results showed that all indices, except for the gonial angle, were significantly different between males and females and can be used for gender determination. The best model included five indices (bicondylar breadth, condylar height, coronoid height, minimum ramus width, and superior border of mental foramen) for gender determination.

JOURNAL OF IMAGING (2023)

Article Biochemistry & Molecular Biology

Association between angiotensin-converting enzyme-2 gene polymorphism (rs2106809) with severity and outcome of COVID-19 infection

Hamideh Mohammadi-Berenjestanaki, Elaheh Mohammadali, Mina Khasayesi, Alireza Rafiei, Zahra Kashi, Narges Mirzaei-Ilali, Zahra Hosseini-khah

Summary: This study found that the ACE2 rs2106809 gene polymorphism is associated with the severity of COVID-19. The G/G genotype is associated with more severe disease and adverse outcomes.

MOLECULAR BIOLOGY REPORTS (2023)

Article Medicine, General & Internal

Accuracy of Three Types of Apex Locators versus Digital Periapical Radiography for Working Length Determination in Maxillary Premolars: An In Vitro Study

Masoumeh Ramezani, Marjan Bolbolian, Mohaddeseh Aliakbari, Ahad Alizadeh, Maryam Tofangchiha, Seyed Mohammad Faegh, Romeo Patini, Giuseppe D'Amato

Summary: This study aimed to compare the accuracy of three types of apex locators versus digital radiography for working length determination, and found that all tested methods showed acceptable accuracy in determining working length in maxillary premolars.

CLINICS AND PRACTICE (2022)

Article Medicine, General & Internal

Association between vitamin D receptor gene polymorphism (rs731236) and aggrecan gene VNTR polymorphism with the risk of lumbar intervertebral disc degeneration

Kaveh Haddadi, Mohammad Sahebi, Abdolkarim Mahrooz, Masoud Shayestch Azar, Muhammad Bagher Hashemi-Soteh

Summary: This study found an association between Aggrecan gene VNTR polymorphism and lumbar intervertebral disc degeneration in the population in the North of Iran, with a higher chance of disc degeneration in individuals with fewer VNTR repeats. Moreover, a mutant allele (C) of VDR gene TaqI polymorphism was found to be associated with disc degeneration.

CASPIAN JOURNAL OF INTERNAL MEDICINE (2022)

Review Endocrinology & Metabolism

The complex combination of COVID-19 and diabetes: pleiotropic changes in glucose metabolism

Abdolkarim Mahrooz, Giovanna Muscogiuri, Raffaella Buzzetti, Ernesto Maddaloni

Summary: The COVID-19 virus can cause various alterations in glucose metabolism, affecting the pathophysiology of pre-existing diabetes or creating new disease mechanisms. Controlling metabolic complications may be a useful therapeutic target against COVID-19.

ENDOCRINE (2021)

Review Medicine, Research & Experimental

MicroRNAs may provide new strategies in the treatment and diagnosis of diabetic retinopathy: Importance of VEGF

Vahid Akbari Kordkheyli, Mohammad Amir Mishan, Abbas Khonakdar Tarsi, Abdolkarim Mahrooz, Mozhgan Rezaei Kanavi, Ali Hafezi-Moghadam, Abouzar Bagheri

Summary: Diabetic retinopathy (DR) is a major cause of blindness worldwide due to the increasing prevalence of diabetes. Studies show that altered expression of proteins like vascular endothelial growth factor (VEGF) plays a crucial role in vascular dysfunction during DR. MicroRNAs (miRNAs) are key regulators of gene expression and are closely related to DR development by regulating gene expressions. Research on miRNA-dependent pathways and the role of VEGF in DR can improve therapeutic and diagnostic approaches for this condition.

IRANIAN JOURNAL OF BASIC MEDICAL SCIENCES (2021)

暂无数据